HomeMy WebLinkAbout15-16348 - CITY OF ZEPHYRHILLS
5335-8TH STREEf �
' �sis��so-oo20 16348�,,..-�'�
BUILDING PERMIT !f
PERMIT INFORMATION LOCATION INFORMATION �
Permit Number: 16348 Address: 5510 19TH ST
Permit Type: RE-ROOF ZEPHYRHILLS, FL.
Class of Work: ROOF REPLACEMENT Township: Range: Book:
Proposed Use: CHURCH Lot(s): Block: Section:
Square Feet: Subdivision: CITY OF ZEPHYRHILLS
Est.Value: Parcel Number: 11-26-21-0010-14300-0000
Improv. Cost: 6,000.00 OWNER INFORMATION
Date Issued: 6/08/2015 Name: FIRST PRESBYTERIAN CHURCH OF ZEP
Total Fees: 97.50 Address: 5510 19TH ST
Amount Paid: 97.50 ZEPHYRHILLS, FL. 33542
Date Paid: 6/08/2015 Phone: (813)782-7412
Work Desc: REROOF RUBBER
CONTRACTOR S APPLICATION FEES
R MAN RO FING INC REROOF OMMERCIAL 97.50
6 �-2� �- c s`�
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Ins ections Re uired
DRY IN ROOF INSP
TAPE JOINTS ROOF INSP
FINAL
REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c)when extra inspection
trips are necessary due to any one of the following reasons: a)wrong address b) condemned work resulting
from faulty construction c) repairs or corrections not made when inspections called d)work not ready for
inspection when called e) permit not posted on job site� plans not at job site g)work not accessible.
NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this properly that
may be found in the public records of this county, and there may be additional permits required from other governmental
entities such as water management, state agencies or federal agencies.
"Warning to owner: Your failure to record a notice of commencement may result in your paying twice for
improvements to your property. If you intend to obtain financing,consult with your lender or an attorney
before recording your notice of commencement."
Complete Plans,Specifications Must Accompany Application.All work shall be performed in accordance with
City Codes and Ordinances. NO OCCUPANCY BEFO C.O.
�
CON CTOR IG E PERMIT OFFI R I
P RMIT PIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION
CALL FOR INSPECTION - 8 HOUR NOTICE REQUIRED
PROTECT CARD FROM WEATHER
�
City of Zephyrhills
BUILDING PLAN REVIEW COMMENTS
.
Contractor/Homeo e • � �� Yl �
wn r.
Date Received: �� ��(��s %`f
Site: `� � �
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Permit Type: 'P'� � -
Approved w/no comments:� Approved w/the below comments: ❑ Denied w/the below comments: ❑
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This comment sheet shall be kept with the pernut andlor plans.
'� '� ,
� Kalvin witz lans Examiner Date Contractor andlor Homeowner
(Required when comments are present)
Bullding i�epartn►enf
Oate Reeeived -»� �- � Fhone Contact for Permifting �'# ✓ � ��-� I;
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+Dwrier's[3ame. �rt'S�" .� �c.� tJwner Phone Num6er ,j ..... _ � 3
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tlwner's A,dc3ress ��1 � �� ,��c�-, flwner Phone Number�— �;
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Fee Simple Titlehatder Name Owner Phone Numher� �'�
Fee Simpte Titiehotdec Address ' .
' �
JOBADDRESS SSI�D Iq�` � S� a LOT# ��_��`
SUBDIVISION , �� � ;PARCEL:Ip# � - •1P C�.�•QCJ 1�j' (.�{�jG�:�:C.��
� � � (OBTASNEp FROM PROPERi'Y 7AX N0710E)
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WORK pRUPOSED � NEW CONSTR e ADD/ALT � SIGN�� MOVE. Q DEMf)LISH
�` � ` �� `' ° INSTALL REPAIR
PROPOSED USE , Q SFR � CQMM Q ' C3l'HER ` • � '
; TYPE OF COt+tSTRUCTlON � BLOCK Q FRAME CJ STEEL Q OTHER • - " � �
DESCRIP7'ION OF WORK�; ��P'TP'` �� °� � �-�' • � — � . . .
BUILDING SIZE C�—� .; SQ FOOTAGE. H�MGHT � "�_� . � � '
Q BUILDING $� _r • ti r � VALUATION OF 70TAL CONSTRUCTION • � �,
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0 ELECTRICAL ($'-- � AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C.
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Q PLUMBING ($ '^�} /� r��� ..
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Q MECHANfCAL $ VALt1Al'iON QF MECHANICAC.tNSTALLATtOit! � � ��
, � � .
GAS ROOFIt�fG SPECIALIY OTHER � •
c� - . : � o o �
! FlNISHED FLOOR EL�VATtONS � � FLOOD ZONE AREA �YES QNO .
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�.UILDEF�_ .._. -- _- - --.__.._. .... _ COMPANY . �. , . : ,
S�GNATURE ` Re�is7EReo' Y/ N ,---F�E cuRaENr '" 'Y/N � " ' '
Address ., � 'License#: �- ' � ` ' ��
ELECTRICIAN COMpANY ' �
SlGNATURE REGI5TERED Y/ N �FEE CURRENT ''Y/N
Address License#� �� �
, PL.UMBER - , COMPANY •
SIGNATURE: REGISTEFtED Y/ N FEE cuRRENT Y/N
rf �.. ' � .
Address - • License# � �
MECHAMCAL COMPANY - ' • ; '�• ,.
SIGNATURE EGISTERED Y/ N FEE CURR�NT Y/N
s Addres� � � License# � � � ��
.
QTHER �COMPANY �. fY�t"'1. ��� . ���C,�r �
SIGNATURE t REGISTER�D Y/ N FEE CURRENT Y/N � •
Address r L�<< � M �-- ��JS�"I '`License# ����-�:��� �
i2EStD8tV71At �- Aftach(2}Ptof Plans;{2)sets af Buildin�Ptans,(1)set of Energy Forms;R-O-W Permit for,new consttttctiott,
-=:=Minimum len(10)working days after submittal dake. Required onsite,Construokibn Plans,S#ormwater Plans w/Sift Fence lnstalled', i
8anitacy Fac'stikies&1 dumpster;Site Work Permft for subdivlsionsllarge praJects � •
CQMM�RCIA! Attach(3)sefs nf�Buitding Plans;(1)set of Energy Forms.R-O-W.FermiE for new co�struc�on. ; -
M'inimum ten(10)working iiays afker submittal date. Required ansite,Construc6on Plans,Starmwater Plans w/Silt Fence in'stalled,
Sanitary FaciEities&1 dumpster.Site Wark Permit for at!new prajects.Ait commercia!requirements must meet camptiance �
SIGN PERNfiT Attach(2)sets of Engineered Pians. '
� """PROPERTY SURVEY required for all NEW construaUon. '
Directions: � �
Fill out application completely. �
Owner&Gon#ractor sign back of apptication,notarized
(f over$250Q a Natice of Commencement is requirec3. (A/C upgrades over$500oj
*" Agent(for the contr�ctor)or Power of Attomey(for the owner)wauld be sameone with notarized letter from owner aulhorizing same
'OVER THE CQUNTEl2 PERMtI"i1NG (Front of Application Onty} ,
Reraofs Sewers Service Upgrades A/C Fences(PIotlSurvey/Footage)
Driveways-Nof aver Counter if on pubtic road�evays..needs ROW .
� �
� NOTICE OF DEED RESTRICTIONS: The undersigned undecstands that this permit may be subject to"deed"restrictions"'
. which may be.more restrictive than County regulations. The undersigned assumes responsibiliry for compliance�with any
applicable deed restrictions.
UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or
contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the
contractor is not licensed as required by law, both the owner and c�ntractor may be cited for a misdemeanor violation
under state law. If the owner or intended contractor are uncertain a�s to what licensing requirements may apply for the
intended work, they are advised to contact the Pasco County Building Inspection DivisiQn—Licensing Section at 727-847- �
, 8009. Furthermore, _if. the owner has hired a contractor or�contractors, he is advised to have the contractor(s) sign
portions of the "contractor 81ock° of this application for which they will be responsible. If you, as the owner sign as the
contractor, that may be an indication that he is not properly licensed.and is not entitled to permitting privileges in Pasco
County. , ,
TRANSPORTATION IMPACT/UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands.
that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
use in existing buildings, or expansion of existing buildings, as specified.in Pasco County Ordinance number 89-07 and
90-07, as-amended. The undersigned also understands, that such fees, as may be due, will be identified.at the time of
permitting. It is further understood that Transportation impact Fees and Resource Recovery Fees must be paid prior to
receiving a "certificate of occupancy" or final power release. If the project does not involve a.certificate of occupancy or
final power release,.the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
• �fees are due, they must be paid prior to permit.i5suance in accordance with applicable Pasco County ordinances.
CON$TRUCTION,LIEN LAW(Chapter 713, Florida Statutes�as amended): If valuation of work is $2,500.00 or more, I
certify that I, the. applicant, have been provided with a copy of the "Florida Construction Lien Law—Homeowner's
Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
other than the."owner", I certify that I have obtained a copy of the above described document and promise in good faith to
deliver it to the"owner"prior to commencement. �
CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
will be dorre�in compliarice with all applicable laws regulating construction, zoning and land development. Application is
hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating
construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
. certify that I understand that.the•regulations of otfier government agencies may apply to the intended work, and that it is
my responsibility to identify wfiat actions I must take to be in compliance. Such agencies include but are not limited to:
- Department of Environmental Protection-Cypress Bayheads, Wetland Ar.eas and Environmentally Sensitive
Lands,VVater/Wastewater Treatment.
- Southwest Florida Wate� Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
Watercoarses: �
- Army Corps of Er�gineers-Seawalls, Docks, Navigable Waterways. '
. " - " Department of Health .& Rehabilitative Services/Environmental Health Unit-Wells, Wastewater.Treatment,
Septic Tanks.
- US En.v_ironmental_Protection Agency-Asbestos abatement.
- Federal Aviation Authority-Runways. �
I undersfand that the following restrictions apply to the use of fill:�
- �Use of,fill is not allowed in Flood Zone"V"unless expressly permitted. �
- If. the fill material is fo be used in Flood Zone "A", it is understood that a drainage plan addressing a
"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
li.censed by the State of Florida. � �
- If the fill material is. ta be used in Flood Zone "A° in connection with a permitted building using stem wall
construction, I certify that fill will be used only to fill the area within the stem wall.
- If fill material is to be used in any area, .I certify that use of such fill will not adversely affect adjacent
properties: If use. of fill is found to adversely affect adjacent properties, the owner may be cited for violafing
the.conditions of the building permit issued under the attached permit application, for lots less than one (1)
. acre which are elevated by fill, an engineered drainage plan is required. �
If I atn the AGENT FOR THE OWNER, I promise in good faith to inform;the owner of the permitting conditions set forth in
this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work,
plumbing, signs, wells, pools, air conditioning, gas, or other installations not spec�cally included in�the application. A
permit issued shall be construed to be a license to proceed with.the work and not as authority to.violate; cancel, alter, or
set aside any p�ovisions.of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter
requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become.invalid
--- -unless-tfie-work-authorized=by-such-permit-is commenced-within six-months of permit issuance,-or-if-work authorized-by---
the permit is suspended or abandoned for a period of six(6) months after the time the work is commenced. An extension
may be �equested,..in writing, from the Bu,ilding Official for a period not to exceed ninety (9U) days and will demonsfrate
justifiable cause f,oc.the extension. If�work ceases for ninety(90)consecutive days,the`job is considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORD.A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
, PAYING.TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YO.0 INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDE OR AN_ATTORNEY BEFORE RECORDING YOUR N TICE OF COMMENCEMENT. �
FLORIDA JURAT(F:S.117. ) _ �
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• Suti"s'cribed-and swom to(or rme b ore m this � Subscribed and swom to( a rm b fo m ih�
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Who.is/are personally known to me or has/have produced Who is/are personally known to me or has have produced
; • as identlfication. as identification.
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;: Notary Public Notary Publio
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Commission No. Commission No.
' Name bf Notary typed,printed o�stamped Name of Notary typed,printed or stamped
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Florida Building Code Online Page 1 of 2
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�:,�,r,r�������;,� BCIS Hame i Log In j User Registration j Hot Topi�syq Submi[Surcharge ; Stats&Facts ; Publicatlons � FBC Staff i eCIS Si[e Map � Links ; Search s
Busines ��> >
Professi�l"�A) ��'q� ProductApproval
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�eg�lat�c�r� �,�
, . 9,��!' '.i Product Aoorwai Menu>Product or Aoolication Search>Aoofication List>ApplicaBon Detail �{' �A�9
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��?�,��'�n�� FL# FL15885-R1 ���y� ��� ��,�
� Application Type Revision �� ����'��0��
Code Version 2010 �,`.
Application Status Approved i�F����?�
�' ,-,�ri
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Comments - (r
Archived E__: �`� -
v
Product Manufacturer GenFlex Roofing Systems,A Div�\.D�of�Ff����i��ts �
Company, LLC. � ����' .
, Address/Phone/Email 250 West 96th Street �` _ ,,��� ��'`�(�
Indianapolis,IN 46260 ''�( v(� �"
(317)816-3806 �, ��/"
mcquillentim@firestonebp.co�'���
Authorized Signature Tim McQuillen
mcquillentim@firestonebp.com
Technical Representative Tim McQuillen
Address/Phone/Email 250 West 96th Street
Indianapolis,IN 46260
(317)816-3806
mcquillentim@firestonebp.com
Quality Assurance Representative
Address/Phone/Email
Category Roofing
Subcategory Single Ply Roof Systems
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
� Evaluation Report-Hardcopy Received
Florida Engineer or Architect Name who developed Robert Nieminen
the Evaluation Report
Florida License PE-59166
Quality Assurance Entity UL LLC
Quality Assurence Contrect Expiration Date 02/26/2017
Validated By John W. Knezevich,PE
� Validation Checklist-Hardcopy Received
Certificate of Independence FL15885 R1 COI 2D14 04 COI Nieminen.odf
Referenced Standard and Year(of Standard) Standard Year
ASTM D6878 2006
FM 4470 1992
FM 4474 2004
TAS 114 2011
UL 1897 2004
Equivalence of Product Standards
Certified By
http://www.floridabuilding.org/pr/pr_app_dtl.aspx?param=wGEVXQwtDqueql%2bT71%... 5/28/2015
� Florida Building Code Online Page 2 of 2
Sections from the Code
Product Approval Method Method 1 Option D
Date Submitted 10/23/2014
� Date Validated 10/23/2014
Date Pending FBC Approval 10/26/2014
Date Approved 12/15/2014
Date Revised 04/14/2015
Summary of Products
FL# Model,Number or Name Description
15885.1 GenFlex EZ TPO Roof Systems Single-Ply TPO Roof Systems
Limits of Use Installation Instructions
Approved for use in HVHZ:No FL15885 R1 II 2014 10 FINAL Ai ER GenFlex EZ
Approved for use outside HVHZ:Yes TPO FL15885-Ri.ndf
Impact Resistant:N/A Verified By: Robert Nieminen PE-59166
Design Pressure: +N/A/-495 Created by Independent Third Party:Yes
Other: 1.)The DP noted in this application pertains to one Evaluation Reports
assembly,Refer to ER Appendix for all assemblies and max FL158�5 Ri AE 2014 10 FINAL ER GenFlex EZ
design pressures.2.)Refer to ER Section 5 for Limits of Use. TPO FL15885-Ri.odf
Created by IndependentThird Party: Yes
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Contact Us::1940 North Monroe Sheet.Tallahassee FL 32399 Phone:650-487-1824
� The State of Florida is an AA/EEO employeo Coovriaht 2007-2013 Sta[e of Florida. Privacv Statement Accesslbilitv Statement::Refund Statement
Under Florlda Iaw,email addresses are public records.If you do not want your e-mail address released in response[o a public-records request,do not send
electronic mall to this entiry Instead,con[act the office by phone or by traditional mail.If you have any questions,please con[act 850.487.1395.'Pursuant to
Sedion 455.275(i),Florida Statutes,effec[ive October 1,2012,Ilcensees Ilcensed under Chap[er 455,F.S.must provide the Department with an emall address if
they have one.The emails provided may be used for o�cial communication with the licensee.However emall addresses are public retord.If you do not wlsh to
supply a personal address,please provide the Department with an emall address which can be made available to the Dublic.To determine If you are a licensee under
Chapter 455,F.S.,please click�_.
Produc[Approval Accepts:
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F.R�`C[IVC:.00IdI1CfI.ZOII 05/29/2015 T. S. , Dpty Clerk
Retum to:
NoT1eE<ii�COr.�MF.Ner:MFnr ,pqULR 5.0'NEIL,Ph.D.PRSCO CLERK & COMPTROLLER
Statcaf'f]orida Nem�ilNu. 0SIZ9I20SS 9:58am 1 of 1
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'I'he undmigned hereby giv�s natia tha�iniprovemenl will bc mede to e�nnin real pro�xrty,nnJ in alrowJanctt with
cha�Cr n3,r•�orivas�aiuea.�nc�ou�{nC'�nlormetiun is pmvfded in thu Nu[icc uf Commrn�neny
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i 3. Uwner Inflirtnadon,orLe95ce intLrmation ifNe Lesiec wntmtted @�thc improvemenr
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,� NemrJaddrss qClte simple�litlehuldcr(iFdiOc`cnt Gum Owner lis�ed above):
�, Contractor.
a� Neme and Address: . I. '�a� �h �l� •��� f�
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atrved as pmvlded by Section l l l,I 7�I xa)7:f'lorida Statutes,
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